Healthcare Provider Details

I. General information

NPI: 1841017613
Provider Name (Legal Business Name): HEATHER L KASHMER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2024
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3930 S ALMA SCHOOL RD STE 10
CHANDLER AZ
85248-4510
US

IV. Provider business mailing address

3930 S ALMA SCHOOL RD STE 10
CHANDLER AZ
85248-4510
US

V. Phone/Fax

Practice location:
  • Phone: 480-488-9858
  • Fax: 480-718-7729
Mailing address:
  • Phone: 480-488-9858
  • Fax: 480-718-7729

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number254133
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: